Provider Demographics
NPI:1306242862
Name:MOLONEY, DANIEL (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:MOLONEY
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5318 HIGHGATE DR
Mailing Address - Street 2:SUITE 134
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6630
Mailing Address - Country:US
Mailing Address - Phone:919-237-3802
Mailing Address - Fax:919-237-3807
Practice Address - Street 1:5318 HIGHGATE DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6630
Practice Address - Country:US
Practice Address - Phone:919-237-3802
Practice Address - Fax:919-237-3807
Is Sole Proprietor?:No
Enumeration Date:2014-11-11
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP15312225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist